Accepted for/Published in: JMIR Research Protocols
Date Submitted: Aug 7, 2023
Date Accepted: Feb 1, 2024
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Strengthening cause of death statistics: a study in selected Districts of three States in India
ABSTRACT
Background:
Mortality statistics are vital for health policy development, epidemiological research and healthcare service planning. Robust mortality surveillance systems are essential for obtaining vital information such as cause of death information. Our study intends to propose a comprehensive model to improve the availability and quality of cause of death (CoD).
Objective:
The study aims to develop a comprehensive model to strengthen the cause of death information in the selected study sites.
Methods:
It is an uncontrolled Before-After (BA) intervention, mixed method study that will be conducted in three blocks located in the districts from the three states (Odisha, Madhya Pradesh and Uttar Pradesh) of India. A baseline assessment of the functioning of the Civil Registration and Vital Statistics (CRVS) system to understand the best practice and challenges, along with the quality assessment of MCCD and, if available, of Verbal Autopsy (VA) forms, will be conducted. Further, training will be provided in Medically Certification of Cause of Death (MCCD) for institutional deaths and World Health Organization Verbal Autopsy 2022 instrument for non-institutional deaths.
Results:
The project is funded. The data collection process began in May, 2023. Out of the thirty Key Informant Interviews(KII) planned, a total of three key informant interviews had been conducted at the time submission. The outcome of the study will be measured in terms of the overall improvement in the quality of MCCD as well as availability of cause of death information through Verbal autopsy for non-institutional deaths in the selected study sites.
Conclusions:
Our study is expected to provide a valuable contribution towards strengthening the cause of death information that could be helpful in policy making and further research. Clinical Trial: The study has been approved by the Institutional Ethics Committee (IEC) of the Institutes (NIMS/IEC/03/2022). The duration of the study will be for twenty-four months. Written informed consent will be taken from the all the stakeholders.
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